Texas · Updated November 2026
Civil surgeons in Texas
Texas has large immigrant communities across Houston, Dallas–Fort Worth and Central Texas, with a wide spread in civil surgeon fees between metro areas.
If you file Form I-485 in Texas, you need a medical exam by a USCIS-designated civil surgeon. The results go on Form I-693. Texas has large immigrant communities in Houston, Dallas, Fort Worth, San Antonio and Austin, and each metro area has its own civil surgeons.
Fees vary from city to city. USCIS does not set the price, so each civil surgeon sets their own. Total cost commonly runs from about $200 to $500 or more, depending on lab tests and how many vaccines you need. Use this page to find civil surgeons and immigration lawyers in your Texas city.
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Green card medical exam in Texas: FAQs
How much does a green card medical exam cost in Texas?
USCIS does not set the price. Each civil surgeon sets their own fee, and Texas prices vary by metro area. Total cost commonly runs from about $200 to $500 or more. Lab tests and the number of vaccines you need can raise it. Health insurance often does not cover the exam. Call a few offices near you and ask what the fee includes.
Do I need to file Form I-693 with my I-485 in Texas?
Yes, in most cases. Since December 2, 2024, USCIS generally requires Form I-693 to be submitted together with Form I-485. A filing without it can be rejected. The civil surgeon must sign the form no more than 60 days before you file. Plan your exam early, because blood test results can take a few days to two weeks.
How do I check that a Texas doctor is a real civil surgeon?
Only doctors designated by USCIS can act as civil surgeons. Use the USCIS "Find a Civil Surgeon" tool on uscis.gov and search by your Texas ZIP code. If a clinic is not on the list, keep looking. If you are outside the U.S. and going through consular processing, you see a panel physician chosen by the Department of State instead.
Looking for immigration lawyers instead? See immigration lawyers in Texas.